I, the undersigned, give my consent for the student identified above to be transported by Holy Blossom Temple by coach bus and will assume all liability for their participation in this event and any injury that may result during the transport or at the event. Further, by signing below:
1. I will not hold Holy Blossom Temple, its officers, agents, employees, assigns or anyone acting on its behalf, responsible or liable for injury occurring to the named person in the course of such activities or such travel.
2. I hereby accept financial responsibility for personal items lost by the person identified herein.
3. I authorize Holy Blossom Temple to transport and to obtain, through a physician of its own choice, any emergency medical care that may become reasonably necessary for the person in the course of such activities/events or such travel, and agree to accept the cost of the transportation and/or treatment by medical personnel or facility.
4. I accept full responsibility and hereby grant permission for my minor child to travel with Holy Blossom Temple. This Waiver and Release will be valid for all transportation occurring as of and after the date below.
This Waiver and Release is valid through November 10 - 12, 2023